01151■
PW
s7W
.7.
4
6
T'o
10
13
14►
15
4^ '
L0. Do you have any plans for future additions, expansion.
or further activity related to or connected with this
proposal? If yes, explain:
NO
11. Do you know of any p ans Dy others which may a ect
the property covered by your -proposal? If yes. explain:
12. Kt—tach any other 'appLlcacLoli Form that has been com-
pleted regarding the proposal; if none has been com-
pleted. but is expected to be filed at some future
date. describe the nature of such application form:
16
17
a % 18 It. ENVIRONMENTAL I�IPACTS�� �� ��
19 (Explanations of all yes and maybe answers are
20 required) Yes- Maybe No
k 2l
22
23
(1) .Garth. Will the proposal result in:
24
25
(a) Unstable earth conditions or in
26
changes in geologicsubstructures?
w
, 27
28
(b) Disruptions, displacements, com- -.
29
paction or overcovering of the soil?
30
3L
(c) Change in topography or ground
32
surface relief features?
33
34
(d) The destruction, covering or
35'
modification of any unique geologic
i 36,
or physical features?: ._.
37
38
(e) Any increase in wind or water
39
erosion of soils, either on or off
40
the site?
.41
42
'.
43
44
45
46
47
48
49
50
-" 51
52
53
54
55
56
.
57
58
59
`
60
1
61
t
62
63
64
65
66
(f) Changes in deposition or ero-
sion of beach sands, or changes
in siltation. deposition or erosion
which may modify the channel of a
x
river or stream or the bed'of the
ocean or any bay, inlet or lake?
e
Explanation: EX A M 6A'E22 SO/ZlT
(2)• Air, Will the proposal result int
(a) Air emissions or deterioration X
of ambient air quality?
..._
(b) The creation of objectionable
odors?
(c) Alteration of air movement,
moisture or temperature, or any
change in c'tmate, either locally
or regionally?
----
Explanation: 117
S'ML2 /Z
-32-